Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.04 / $898.30 / $4,500.00	Facility		$301.04	$898.30	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $144.96 / $754.88	Professional		$81.59	$144.96	$754.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.99 / $166.94 / $290.22	Professional		$110.99	$166.94	$290.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $229.76 / $754.88	Facility		$94.74	$229.76	$754.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $212.94 / $477.17	Professional		$139.84	$212.94	$477.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $344.70 / $433.66	Professional		$32.34	$344.70	$433.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,342.49 / $2,392.64 / $3,575.46	Facility		$1,342.49	$2,392.64	$3,575.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.93 / $199.40 / $507.21	Professional		$161.93	$199.40	$507.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,450.00 / $6,124.00 / $7,609.00	Facility		$3,450.00	$6,124.00	$7,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.41 / $189.98 / $302.68	Professional		$140.41	$189.98	$302.68